Provider Demographics
NPI:1053334482
Name:MCELVEEN, LINDA C (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:C
Last Name:MCELVEEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:CALABRESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:901 GAUSE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2949
Mailing Address - Country:US
Mailing Address - Phone:985-280-8970
Mailing Address - Fax:985-280-2618
Practice Address - Street 1:901 GAUSE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2949
Practice Address - Country:US
Practice Address - Phone:985-280-8970
Practice Address - Fax:985-280-2618
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022425207R00000X
LAMD.022425208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1496316Medicaid
MS08301855Medicaid
LA4M9977061Medicare PIN
G82022Medicare UPIN
LA5A940Medicare PIN